Working with diabetics, is finding increasing BUN, or blood urea nitrogen, on serial blood tests, when they were normal before interventions. Many times creatinine and eGFR will not change significantly in other kidney markers. Urine, for instance, stays normal as well. Concerned that perhaps driving some patients into sarcopenia, and curious how to address this.

Dr. Amy Nett: Yeah, that’s a good question, and you know, I actually don’t have that many diabetic patients. And so you’re saying, you primarily work with diabetic patients, but have many other functional medicine patients. I don’t know that I’ve seen increasing BUN, so that might be something for us to come back to when we’re on the blood chemistry section, because again, not something I’ve been seeing in a lot of our patients, and it could also be worth collecting some data, and then maybe we can look more specifically at a couple of cases to get a better idea of what that’s looking like, and what their numbers are actually looking like, but yeah, I don’t have a clear answer to that.